CAJ | 학술논문

目的：探讨血管内化疗栓塞治疗老年患者肾癌的临床价值。方法22例中晚期老年肾癌患者接受经皮肾动脉化疗栓塞治疗，栓塞剂选用碘化油乳剂。术后对其临床资料进行回顾性分析，观察肾动脉栓塞的疗效。结果22例患者均成功进行选择性肾动脉化疗栓塞术，术后所有患者症状消失或显著减轻，无严重并发症。随访4～19个月，存活10例（45.46%），死亡12例，中位生存期13个月，存活最长时间17个月。结论经皮肾动脉化疗栓塞术治疗老年中晚期肾癌安全有效、并发症少，是行之有效的姑息治疗方法。
목적：탐토혈관내화료전새치료노년환자신암적림상개치。방법22례중만기노년신암환자접수경피신동맥화료전새치료，전새제선용전화유유제。술후대기림상자료진행회고성분석，관찰신동맥전새적료효。결과22례환자균성공진행선택성신동맥화료전새술，술후소유환자증상소실혹현저감경，무엄중병발증。수방4～19개월，존활10례（45.46%），사망12례，중위생존기13개월，존활최장시간17개월。결론경피신동맥화료전새술치료노년중만기신암안전유효、병발증소，시행지유효적고식치료방법。
Objective To evaluate the clinical value of transcatheter renal arterial chemoembolization for treating elderly patients with advanced renal cancer.Methods 22 elderly patients with advanced renal cancer received percutaneous renal arterial chemoembolization. The feeding arteries of tumors were embolized superselectively with iodized oil, then their clinical data were analyzed.Results The feeding arteries of tumors were successfully embolized in 22 patients. No major postoperative complications have occurred. After embolization, primary tumor-related symptoms relieved or disappeared in all patients. During 4~19 months follow-up, 10 cases survived (45.46%), 12 cases of death, the median survival time was 13 months, the long survival time was 17 months.ConclusionFor the elderly patients with advanced renal cancer, renal arterial chemoembolization is safe and effective as palliative therapy.